Healthcare Provider Details

I. General information

NPI: 1982561460
Provider Name (Legal Business Name): NURTURING ESSENTIALS. LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/07/2026
Last Update Date: 01/07/2026
Certification Date: 01/05/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

73 WILLIAMSBURG COUNTY HWY STE A
KINGSTREE SC
29556
US

IV. Provider business mailing address

353 RABBITS FOOT LOOP
KINGSTREE SC
29556-7439
US

V. Phone/Fax

Practice location:
  • Phone: 843-229-1276
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code253Z00000X
TaxonomyIn Home Supportive Care Agency
License Number
License Number State

VIII. Authorized Official

Name: ANNIE WILSON
Title or Position: OWNER
Credential: RN
Phone: 843-940-3532